2014 MOC: PQRS and the MOC Matters Website
Visit the MOC Matters Website to fulfill and document your 2014 MOC and PQRS requirements. It consists of the MOC: PQRS Attestation Module, the PQRS Registry Module and the Patient Experience of Care Survey Module. As an added feature, the freestanding Patient Survey Module is available to diplomates of all Member Boards, whether or not the diplomates are participating in MOC:PQRS. The Website also includes an updated MOC:PQRS Facts & FAQs.Click to find PDFs.

Approved MOC Products

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Candidates†are those in the field of Psychiatry, who are seeking ABPN Board Certification. All candidates will need to complete and submit an application in order to qualify for an examination. Each application will be reviewed by the credentials department. Candidates become diplomates after passing their examination. Diplomates will then begin the process of†maintenance of certification.

A 49-year-old married man is evaluated for stress at work. As a young man, the patient attended school to become a minister. However, after having an affair with a married woman in his congregation, he decided that he wasn't “worthy.” He has held various jobs since and for about six years has been a teacher in the public school system. He says he is having trouble keeping control of his classes, and he is actively looking for a new job. He has been in his third marriage for about eight years. He has no children from any of them. The patient had an uneventful childhood but tended to be shy and unathletic. He was an above average student. He was somewhat moody as a teenager but hasn't had any previous psychiatric contact. He experimented with marijuana as a youth and drinks socially. He is college educated and has no legal history. He mentions during questions in the developmental history that when he was 12 years old he discovered that he had some “homosexual tendencies.” The patient has had hypertension and hesitancy on urination in the past few years. He is being evaluated by his internist for these problems. Otherwise, he has been in good health. His evaluation is shown below.

Test answers are available at the end.

1. Video Vignette Clip for questions 1 and 2.

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Question 1 of 6

1.

Given the information shown in the video titled "Clip one," this patient’s initial presentation is most consistent with which of the following diagnoses? (Choose two.)

Dysthymic disorder

Obsessive compulsive personality disorder

Dependent personality disorder

Acute stress disorder

Adjustment disorder

Question 2 of 6

2.

Given the information shown in the video titled "Clip one," the patient's tendency to blame circumstances and others is most consistent with (Choose one.)

the warding off of affect

psychological mindedness

a lack of experience in treatment

the presence of a personality disorder

an underlying paranoid process

2. Video Vignette Clip for questions 3 and 4.

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Question 3 of 6

3.

Given the information shown in the video titled "Clip one," and "Clip two," upon learning that this patient was a pedophile years ago the psychiatrist should (choose three)

explore the possibility of other minors currently at risk

identify his clandestine relationship as a real problem

expand his awareness about the possible consequences of his acts

inform him that legally it is required to report him as a pedophile

insist that he tell his wife about the affair

Question 4 of 6

4.

Given the information shown in the video titled "Clip one," and "Clip two," which of the following areas of inquiry is most urgent regarding this patient's sexual involvement with a minor? (Choose one.)

How much money was paid to the youth involved

What the patient plans to tell his wife

The details of the patient's specific sexual acts with the youth

The details of past or present sexual urges and fantasies involving minors

Whether or not "safe sex" practices have been used

3. Video Vignette Clip for questions 5 and 6.

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Question 5 of 6

5.

Given the information shown in the video titled "Clip one," "Clip two," and "Clip three," which of the following two treatment options are the most appropriate for this patient? (Choose two.)

Medications

A specialized treatment setting for sexual identity disorders

Acute inpatient treatment

Insight-oriented psychotherapy

Group therapy for sexual dependence

Question 6 of 6

6.

Given the information shown in the video titled "Clip one," "Clip two," and "Clip three," for which of the following reasons may confidentially be breached in this case? (Choose one.)

As a means to engage the patient's wife in therapy

In order to fulfill a duty to warn homosexual lover

In order to learn more about the patient's HIV status

Only with new information about the patient's suicidal intent

To alert his school principal of his pedophile tendencies

Test answers:

Dysthymic disorder; adjustment disorder

then presence of a personality disorder

explore the possibility of other minors currently at risk; identify his clandestine relationship as a real problem; expand his awareness about the possible consequences of his acts

The details of past or present sexual urges and fantasies involving minors